European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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To assess the potential role of procalcitonin and tumor necrosis factor-alpha, interleukin-6 and interleukin-8, in the prognosis of patients with sepsis. ⋯ Stepwise multivariate logistic regression analysis showed serum procalcitonin level to be a valuable marker of sepsis severity, compared with the 15 other clinical, biochemical and bacteriologic variables tested.
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We report here a patient with severe hypothermia (27 degrees C), who was successfully rewarmed by using a novel intravascular rewarming method (in combination with an airways rewarming method) through endotracheal tube.
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We investigated whether frequency of avalanche accidents corresponds with the danger assessment given in avalanche hazard tables and with topographic factors of the avalanche origin. ⋯ Frequency of avalanche emergencies associated with outdoor leisure activities does not correspond with the danger forecast in avalanche hazard bulletins. There is need of a modified and regionally adjusted grading that makes allowance for experience and individual behavior of recreationists going in for backcountry leisure activities.
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Randomized Controlled Trial
Is information sharing between the emergency department and primary care useful to the care of frequent emergency department users?
To assess whether easy access to medical information of the emergency department's (ED) frequent users would be useful to patient care in the ED and at primary healthcare centres (PHCs), and if resource utilization in the following year would be affected. ⋯ Although only a small subgroup's information was shared, yielding no decrease in overall healthcare utilization, the study indicated benefits of the enhanced information at the respective care level and also had important clinical and organizational implications.